NPIMap

Organization Active NPI

T-Web Fitness & Physical Therapy

  • Physical Therapist
  • Bryans Road, MD
National Provider Identifier
1629842075
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
T-WEB FITNESS & PHYSICAL THERAPY
Practice address
3047 Marshall Hall Rd
Bryans Road, MD 20616-3240
Phone
(301) 399-0351
NPI assigned
Nov 7, 2023
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracey WebsterNPI 1013581891
Title
Owner
Phone
(301) 399-0351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3047 Marshall Hall Rd
Bryans Road, MD 20616-3240

Mailing address

618 Currant CT
La Plata, MD 20646-3274
Phone (301) 399-0351

Other practice location 1

618 Currant Ct
LA Plata, MD 20646-3274
Phone (301) 399-0351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240110001908 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214388693 Receives reassigned benefits from 3 practitioners
Practice locations: Bryans Road, MD

National Provider Directory

National Provider Directory

Locations

3047 Marshall Hall Rd
Bryans Road, MD 20616
Phone (301) 399-0351

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1629842075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 CURRANT CT",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463274",
            "telephone_number": "301-399-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 MARSHALL HALL RD",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206163240",
            "telephone_number": "301-399-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Currant Ct",
            "address_purpose": "LOCATION",
            "city": "LA Plata",
            "state": "MD",
            "postal_code": "206463274",
            "country_code": "US",
            "telephone_number": "301-399-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "T-WEB FITNESS & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-399-0351"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryans Road, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.